DR. Jay H. Blackburn, D.D.S.
NPI #1730103045 in New Buffalo, Michigan
Provider Information
- NPI Number
- 1730103045
- Entity Type
- Individual
- Name
- DR. Jay H. Blackburn, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 105 W. MERCHANT STREET
- City
- New Buffalo
- State
- Michigan
- ZIP Code
- 49117-1813
- Phone
- (269) 469-3140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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